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黎巴嫩戒烟阶段准备度及2个月和6个月内戒烟意愿的预测因素

Predictors of Readiness to Quit Stages and Intention to Quit Cigarette Smoking in 2 and 6 Months in Lebanon.

作者信息

Layoun Nelly, Hallit Souheil, Waked Mirna, Aoun Bacha Zeina, Godin Isabelle, Dramaix Michele, Salameh Pascale

机构信息

Research Center in Epidemiology, Biostatistics and Clinical Research, School of Public Health, Free University of Brussels, Brussels, Belgium.

School of Pharmacy, Lebanese University, Beirut, Lebanon.

出版信息

J Res Health Sci. 2017 May 11;17(2):e00379.

PMID:28676591
Abstract

BACKGROUND

We aimed at examining quitting behaviors among Lebanese cigarette smokers in order to clarify characteristics of adults who were more likely to intend to quit smoking.

STUDY DESIGN

A cross-sectional study.

METHODS

This study was conducted between March 2014 and March 2015, involving 382 patients randomly chosen from 5 outpatient clinics in 5 hospitals in Lebanon. A standardized questionnaire was completed including socio-demographic characteristics, smoking behavior, chronic respiratory symptoms, Fagerstrom scale, Mondor scale, packaging perception, quitting behavior and readiness to quit ladder.

RESULTS

40.8% of participants reported having higher stages of readiness to quit while 33% and 7.9% of them intended to quit in 2 and 6 months later, respectively. Higher stages of readiness to quit were associated with high motivation to quit smoking (ORa=1.98; P=0.007), chronic wheezing and real quit attempt duration of ≥ 1 month (ORa=2.35, P=0.020 and ORa=2.15, P=0.003, respectively). Highly motivated smokers (ORa=1.83, P=0.040), who would have changed their favorite pack due to the graphical warnings (ORa=2.11, P=0.010) and who had past quit attempt (ORa=4.39, P<0.001) had more intention to quit in 2 months. Having past quit attempts would increase the intention to quit in 6 months by 7.48 times (ORa=7.48, P=0.007).

CONCLUSIONS

Significantly higher intentions to quit cigarette smoking were associated with a higher motivation and influenced by shocking images and health related warnings on tobacco boxes. We hope our results will initiate public health educational programs and interventions to surge the intention to quit cigarette smoking as the first step of quitting.

摘要

背景

我们旨在研究黎巴嫩吸烟者的戒烟行为,以明确更有可能打算戒烟的成年人的特征。

研究设计

一项横断面研究。

方法

本研究于2014年3月至2015年3月进行,涉及从黎巴嫩5家医院的5个门诊随机选取的382名患者。完成一份标准化问卷,内容包括社会人口学特征、吸烟行为、慢性呼吸道症状、法格斯特龙量表、蒙多尔量表、包装认知、戒烟行为以及戒烟意愿阶梯。

结果

40.8%的参与者报告有较高阶段的戒烟意愿,其中分别有33%和7.9%的人打算在2个月和6个月后戒烟。较高阶段的戒烟意愿与较高的戒烟动机相关(优势比[ORa]=1.98;P=0.007)、慢性喘息以及实际戒烟尝试持续时间≥1个月(ORa分别为2.35,P=0.020和ORa=2.15,P=0.003)。有较高动机的吸烟者(ORa=1.83,P=0.040),因图形警示而会更换其喜爱烟包的吸烟者(ORa=2.11,P=0.010)以及有过既往戒烟尝试的吸烟者(ORa=4.39,P<0.001)在2个月时有更强的戒烟意愿。有过既往戒烟尝试会使6个月时的戒烟意愿增加7.48倍(ORa=7.48,P=0.007)。

结论

显著更高的戒烟意愿与更高的动机相关,并受到烟盒上令人震惊的图片和健康相关警示的影响。我们希望我们的结果将启动公共卫生教育项目和干预措施,以增强戒烟意愿,作为戒烟的第一步。

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